MEDICARE: HOWARD S SCHWARTZ MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	080105	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	177121	OTHER	NY	MEDICARE NSC
2	177121	OTHER	NY	MEDICARE PTAN
4	177121	OTHER	NY	MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	HS01771210	OTHER	NY	EMPIRE BLUE CROSS AND BLUE SHIELD

General Provider Information

NPI Number	:	1043389380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOWARD S SCHWARTZ MD PC

Provider Business Mailing Address
First Line	:	3201 GRAND CONCOURSE
Second Line	:	SUITE 1-L
City	:	BRONX
State	:	NY
Zip	:	10468
Country	:	US
Telephone Number	:	718-933-3388
Fax Number	:	718-733-5123

Provider Business Practice Location Address
First Line	:	3201 GRAND CONCOURSE
Second Line	:	SUITE 1-L
City	:	BRONX
State	:	NY
Zip	:	10468-1226
Country	:	US
Telephone Number	:	718-933-3388
Fax Number	:	718-733-5123

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HOWARD STANLEY SCHWARTZ
Credential	:	M.D.
Telephone Number	:	718-933-3388

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	02/26/2010

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